J L & C ENTERPRISES INC
Pharmacy at Goodwin St, Prescott, AZ

License number
Arizona 2295
Category
Suppliers
Type
Pharmacy
Owner
Name: JOHN PHILLIPS RPH
Title: PHARMACIST OWNER
Phone: (928) 445-3550
Address
Address
406 W Goodwin St, Prescott, AZ 86303
National Provider ID: 1053337444
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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J L & C ENTERPRISES, INC

Prescott, AZ

Status:
Inactive
Industry:
Ret Drugs/Sundries
Doing business as:
Goodwin Street Pharmacy<br>Health Mart
Registration:
Nov 9, 1990
Phone:
(928) 445-3550 (Phone)
Addresses:
222 Grace Ave, Prescott, AZ 86303 (Physical)
406 W Goodwin St, Prescott, AZ 86303
State ID:
-0227864-2
Expiration:
PERPETUAL
Director Of Pharmacys:
John Phillips (Vice-president, Owner), 222 Grace Ave, Prescott, AZ 86303 (Physical),Lance Sandleben President, Treasurer, Secretary, Pharmacist, inactive, 222 Grace Ave, Prescott, AZ 86303 (Physical),Charlie Greenfield Owner, inactive,...

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